Carbon Dioxide Laser Microsurgery for Early Glottic Carcinoma
| Autor: | Roberto Puxeddu, Gian Peppino Ledda |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Glottis Microsurgery medicine.medical_specialty medicine.medical_treatment Disease-Free Survival 03 medical and health sciences 0302 clinical medicine Laryngeal preservation Carcinoma medicine Humans 030223 otorhinolaryngology Surgical treatment Laryngeal Neoplasms Aged Retrospective Studies Aged 80 and over Co2 laser business.industry Retrospective cohort study Carbon Dioxide Middle Aged Carbon dioxide laser medicine.disease Surgery Treatment Outcome Otorhinolaryngology Glottic cancer 030220 oncology & carcinogenesis Carcinoma Squamous Cell Female Laser Therapy Neoplasm Recurrence Local business |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 134:911-915 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1016/j.otohns.2005.10.049 |
| Popis: | OBJECTIVES: To define the oncologic efficacy of transoral endoscopic CO2 laser surgery in early glottic carcinoma.METHODS: A retrospective study of 103 patients with glottic carcinoma (14 Tis, 68 pT1a, 14 pT1b, and 7 pT2) treated from October 1993 to June 2001. Surgical treatment included endoscopic CO2 laser cordectomies according to the classification of the European Laryngological Society.RESULTS: According to the Kaplan-Meier method, the probability of remaining free of local recurrence 5 years after primary surgery alone was 100% for the Tis, 96.05% for the T1, and 100% for the T2. Local control at 5 years after exclusive CO2 laser salvage surgery was 98.03%. The probability of remaining free of local recurrence 5 years after any type of salvage surgery was 100%. Laryngeal preservation was achieved in 100% of the cases.CONCLUSIONS: According to the present series, endoscopic CO2 laser surgery is an effective treatment for early glottic cancer. |
| Databáze: | OpenAIRE |
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